Active NPI
Unasource Sleep Center, LLC
- Sleep Disorder Diagnostic Clinic/Center
- Troy, MI
National Provider Identifier
1386608750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- Legal business name
- UNASOURCE SLEEP CENTER, LLC
- Practice address
- 4550 Investment Drive
Suite 230
Troy, MI 48098-6368 - Phone
- (248) 755-5522
- NPI assigned
- Apr 13, 2006
- Last updated
- Sep 4, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Timothy B Kerr
- Title
- Managing Director
- Phone
- (248) 755-5522
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | NU | Primary |
Addresses
Primary practice location
4550 Investment Drive
Suite 230
Troy, MI 48098-6368
Mailing address
3055 Kettering Blvd
Suite 219B
Moraine, OH 45439-1989
Phone (800) 346-5837
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 473709910 | Medicaid | MI | |
| 7956627 | Other | MI | AETNA |
| 700F323810 | Other | MI | BC/BS MI |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
4550 Investment Dr
Ste 230
Troy, MI 48098
Phone (248) 265-2545
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Troy, MI
- NPI 1942261938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1252022400000",
"number": "1386608750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3055 KETTERING BLVD",
"address_2": "SUITE 219B",
"city": "MORAINE",
"state": "OH",
"postal_code": "454391989",
"telephone_number": "800-346-5837",
"fax_number": "937-395-4415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4550 INVESTMENT DRIVE",
"address_2": "SUITE 230",
"city": "TROY",
"state": "MI",
"postal_code": "480986368",
"telephone_number": "248-755-5522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNASOURCE SLEEP CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-13",
"last_updated": "2009-09-04",
"status": "A",
"authorized_official_last_name": "KERR",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "MANAGING DIRECTOR",
"authorized_official_telephone_number": "248-755-5522",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "473709910",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7956627",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS MI",
"identifier": "700F323810",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.